| NPI | 1407197940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CROMWELL Owner/Manager 208-376-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LCPC-3007) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2021-02-19 |